| Form Health Associates, P.c. | |
|
4900 California Ave Bakersfield CA 93309-7024 | |
| (617) 505-1520 | |
| Not Available |
| Full Name | Form Health Associates, P.c. |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 4900 California Ave, Bakersfield, California |
| Authorized Official Name and Position | Nam Ho Kim (PRESIDENT) |
| Authorized Official Contact | 7144177776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Form Health Associates, P.c. 109 State St Ste 5 Boston MA 02109-2906 Ph: (617) 505-1520 | Form Health Associates, P.c. 4900 California Ave Bakersfield CA 93309-7024 Ph: (617) 505-1520 |
| NPI Number | 1801615752 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801615752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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